Customer Booking Form
Fill in your details so we can arrange your appointment in our service schedule.
1
Contact Details
2
Service Details
Personal
Company
Company Name
Company SSM
Salutation
Mr
Ms
DYMM
Datin
Datin Seri
Dato'
Dato' Seri
Datuk
Datuk Seri
Dr
Puan Sri
Tan Sri
Toh Puan
Tun
YAM
YAB
YB
YM
Name
Email
Contact Number
+6
Model
Truck
Pickup
SUV
Others - Car
Others - Lorry
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Car Registration Number
Mileage
KM
Service Type
Repair
Minor Service - 10K, 30K, 50K
Major Service - 40K, 80K, 120K
Fast Service
Additional Request
Add
Appointment
Branch
ACM Batu Caves
ACM Juru
ACM Ipoh
ACM Kuantan
ACM Johor Bahru
Preferred SA
MARISAH
NIZAM
BADRIN
Rashidah
FARIZAL
ASRAF
BALAN
IZUAN
RIZAL
NORASIKIN
IKHWAN
FUAAT
AZRIL
SAIFUL
ZAID
Date
Time
Please choose a date to check for slot availability.
I hereby acknowledge and confirm receipt of the
PDPA
Notice and consent of processing my personal data in accordance with said Notice.
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